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PD-L1 testing of non-small cell lung cancer using different antibodies and platforms: a Swiss cross-validation study

With the approval of pembrolizumab for first- and second-line treatment of PD-L1+ non-small cell lung cancer (NSCLC), PD-L1 testing by immunohistochemistry (IHC) has become a necessity. However, the DAKO autostainer ASL48 for the FDA approved DAKO 22C3 pharmDx assay is not broadly available in Switz...

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Published in:Virchows Archiv : an international journal of pathology 2019-07, Vol.475 (1), p.67-76
Main Authors: Savic, Spasenija, Berezowska, Sabina, Eppenberger-Castori, Serenella, Cathomas, Gieri, Diebold, Joachim, Fleischmann, Achim, Jochum, Wolfram, Komminoth, Paul, McKee, Thomas, Letovanec, Igor, Jasarevic, Zerina, Rössle, Matthias, Singer, Gad, von Gunten, Michael, Zettl, Andreas, Zweifel, Roland, Soltermann, Alex, Bubendorf, Lukas
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cited_by cdi_FETCH-LOGICAL-c419t-eb2f5667a2b5cccc68cb72e5574ed9c984332284fbc261f2a4e9be97933f93283
cites cdi_FETCH-LOGICAL-c419t-eb2f5667a2b5cccc68cb72e5574ed9c984332284fbc261f2a4e9be97933f93283
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container_issue 1
container_start_page 67
container_title Virchows Archiv : an international journal of pathology
container_volume 475
creator Savic, Spasenija
Berezowska, Sabina
Eppenberger-Castori, Serenella
Cathomas, Gieri
Diebold, Joachim
Fleischmann, Achim
Jochum, Wolfram
Komminoth, Paul
McKee, Thomas
Letovanec, Igor
Jasarevic, Zerina
Rössle, Matthias
Singer, Gad
von Gunten, Michael
Zettl, Andreas
Zweifel, Roland
Soltermann, Alex
Bubendorf, Lukas
description With the approval of pembrolizumab for first- and second-line treatment of PD-L1+ non-small cell lung cancer (NSCLC), PD-L1 testing by immunohistochemistry (IHC) has become a necessity. However, the DAKO autostainer ASL48 for the FDA approved DAKO 22C3 pharmDx assay is not broadly available in Switzerland and other parts of Europe. The primary goal of this study was to cross-validate the 22C3 anti-PD-L1 antibody on Benchmark Ultra (VBMU) and Leica Bond (LBO) immunostainers. IHC protocols were developed for 22C3 on both platforms with the 22C3phDx using ASL48 as reference. A tissue microarray (TMA) was constructed from 23 NSCLC specimens with a range of PD-L1 staining results. Empty TMA sections and the 22C3 antibody were distributed to 16 participants for staining on VBMU (8 centers) and/or LBO (12 centers) using the centrally developed protocols. Additionally the performance of the Ventana SP263 assay was tested in five centers. IHC scoring was performed centrally. Categorical PD-L1 staining (0–49% vs. 50–100%) did not significantly differ between centers using VBMU, whereas data from LBO were highly variable ( p  
doi_str_mv 10.1007/s00428-019-02582-0
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identifier ISSN: 0945-6317
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1432-2307
language eng
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subjects Antibodies
Antibodies - immunology
Assaying
Automation, Laboratory
B7-H1 Antigen - analysis
Biomarkers, Tumor - analysis
Carcinoma, Non-Small-Cell Lung - chemistry
Carcinoma, Non-Small-Cell Lung - immunology
Carcinoma, Non-Small-Cell Lung - pathology
Humans
Immunohistochemistry
Immunohistochemistry - instrumentation
Immunohistochemistry - methods
Immunohistochemistry - standards
Lung cancer
Lung Neoplasms - chemistry
Lung Neoplasms - immunology
Lung Neoplasms - pathology
Medicine
Medicine & Public Health
Monoclonal antibodies
Non-small cell lung carcinoma
Observer Variation
Original Article
Pathology
PD-L1 protein
Pembrolizumab
Platforms
Predictive Value of Tests
Reproducibility of Results
Staining
Switzerland
Targeted cancer therapy
Tissue Array Analysis
title PD-L1 testing of non-small cell lung cancer using different antibodies and platforms: a Swiss cross-validation study
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